CHARLES PONCELET

SAN LUIS OBISPO, CA
NPI1861833915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  RN477166)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
Mr. CHARLES PONCELET RN
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-296-8650
Mailing Address
Mr. CHARLES PONCELET RN
3130 ROADRUNNER LANE
TEMPLETON, CA 93465
Phone number: 805-296-8650
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